Bowel loops and eyelid droops.
A patient presented with a small-bowel obstruction associated with signs and symptoms of botulism. Fecal cultures were positive for viable Clostridium botulinum. This case emphasizes the importance of a broad differential diagnosis and doing a complete examination to account for all signs and symptoms.
Spiegelman
Jamie
J
Department of Medicine, University of Toronto, Sunnybrook Health Sciences Centre, Toronto, Ont.
Cescon
David W
DW
Friedman
Yael
Y
Mazza
Brie V
BV
Austin
John W
JW
Rachlis
Anita
A
Murray
Brian J
BJ
D001763:Blepharoptosis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D001904:Botulinum Antitoxin / Q000008:administration & dosage*; D001906:Botulism / Q000150:complications* / Q000175:diagnosis; D047014:Clostridium botulinum type B / Q000302:isolation & purification*; D003937:Diagnosis, Differential; D005243:Feces / Q000382:microbiology; D006801:Humans; D007155:Immunologic Factors / Q000008:administration & dosage*; D007415:Intestinal Obstruction / Q000175:diagnosis / Q000209:etiology*; D007421:Intestine, Small; D007813:Laparotomy; D008297:Male; D008875:Middle Aged; D009883:Ophthalmic Solutions; D011860:Radiography, Abdominal; D014057:Tomography, X-Ray Computed
D001904:Botulinum Antitoxin; D007155:Immunologic Factors; D009883:Ophthalmic Solutions